Facial nerve palsy secondary to tick infestation in the ear canal

How did we manage the patient

Sarniza Zainol, Salina Husain

Research output: Contribution to journalArticle

Abstract

Background: Tick infestation in the ear canal may have variable clinical presentations such as otalgia, giddiness, tinnitus and facial nerve palsy. Facial paralysis is a rarely reported localised neurological complication of an intra-aural tick infestation which is due to the neurotoxin produced by the toxin secreted in thick saliva. Facial nerve function can be restored after removal the tick. Two approaches for tick removal have been described; either by application of a noxious stimulus to induce the tick to withdraw spontaneously or by mechanical removal. Case presentation: We present here a case of facial nerve paralysis in a 4-year-old girl due to intra aural tick infestation. The patient presented with left otalgia and left sided facial asymmetry. The pathophysiology of localised paralysis is discussed, together with the management of patient with a tick infestation in the ear canal. Conclusion: Detailed history and physical examination are needed in diagnosing tick paralysis. Patient that coming from rural areas with sudden acute ear pain and facial palsy, the ear canal should be examined carefully to exclude the possibility of parasitisation by ticks. Quick and proper management can prevent fatal systemic complication such as respiratory distress due to respiratory muscle paralysis.

Original languageEnglish
Pages (from-to)371-373
Number of pages3
JournalInternational Medical Journal
Volume25
Issue number6
Publication statusPublished - 1 Dec 2018
Externally publishedYes

Fingerprint

Tick Infestations
Ear Canal
Facial Paralysis
Facial Nerve
Ticks
Earache
Ear
Tick Paralysis
Respiratory Paralysis
Facial Asymmetry
Tinnitus
Neurotoxins
Acute Pain
Dizziness
Saliva
Paralysis
Physical Examination
History

Keywords

  • External ear canal
  • Facial nerve palsy
  • Management
  • Tick infestation

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Facial nerve palsy secondary to tick infestation in the ear canal : How did we manage the patient. / Zainol, Sarniza; Husain, Salina.

In: International Medical Journal, Vol. 25, No. 6, 01.12.2018, p. 371-373.

Research output: Contribution to journalArticle

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